Gastro-esophageal and respiratory morbidity in children after esophageal atresia repair: a 23-year review from a single tertiary institution in Asia
Chiang, J., Yap, T., Arif, S., Choo, C., Pugalenthi, A., Thomas, B., Jacobsen, A., Ong, L. (2023). Gastro-esophageal and respiratory morbidity in children after esophageal atresia repair: a 23-year review from a single tertiary institution in Asia. EKB Journal Management System, 19(1), -. doi: 10.1186/s43159-023-00251-1
Jayne Chiang; Te-Lu Yap; Shaista Arif; Candy S. C. Choo; A. K. Pugalenthi; Biju Thomas; Anette S. Jacobsen; Lin Yin Ong. "Gastro-esophageal and respiratory morbidity in children after esophageal atresia repair: a 23-year review from a single tertiary institution in Asia". EKB Journal Management System, 19, 1, 2023, -. doi: 10.1186/s43159-023-00251-1
Chiang, J., Yap, T., Arif, S., Choo, C., Pugalenthi, A., Thomas, B., Jacobsen, A., Ong, L. (2023). 'Gastro-esophageal and respiratory morbidity in children after esophageal atresia repair: a 23-year review from a single tertiary institution in Asia', EKB Journal Management System, 19(1), pp. -. doi: 10.1186/s43159-023-00251-1
Chiang, J., Yap, T., Arif, S., Choo, C., Pugalenthi, A., Thomas, B., Jacobsen, A., Ong, L. Gastro-esophageal and respiratory morbidity in children after esophageal atresia repair: a 23-year review from a single tertiary institution in Asia. EKB Journal Management System, 2023; 19(1): -. doi: 10.1186/s43159-023-00251-1

Gastro-esophageal and respiratory morbidity in children after esophageal atresia repair: a 23-year review from a single tertiary institution in Asia

Annals of Pediatric Surgery
Volume 19, Issue 1, January 2023  XML PDF (1 MB)
DOI: 10.1186/s43159-023-00251-1
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Authors
Jayne Chiang email orcid ; Te-Lu Yap; Shaista Arif; Candy S. C. Choo; A. K. Pugalenthi; Biju Thomas; Anette S. Jacobsen; Lin Yin Ong
Abstract
Background
Improved survival of neonates with esophageal atresia with/without tracheoesophageal fistula (EA/TEF) has resulted in increased prevalence of gastro-esophageal and respiratory-related morbidities. However, long-term outcome data on these patients remains limited, making it difficult to substantiate any guidelines on their chronic care. The purpose of our study is to report on their post-operative outcomes especially the long-term gastro-esophageal and respiratory morbidities.
Methods
This was a retrospective review of 65 patients (39 males, 26 females) who underwent EA/TEF repair from 1996 to 2019 at a single tertiary institution. Follow up data pertaining to clinical characteristics, operative management and long-term gastro-esophageal and respiratory morbidities was analyzed.
Results
Fifty-seven patients (87.7%) had Gross Type-C anatomy, followed by 5(7.7%) patients with Type-A, 1(1.5%) with Type-B and 1 with Type-D. One patient had a late diagnosis of H-type fistula (Type-E). Thirteen (20%) patients had long-gap EA.
Conclusion
Despite successful surgical repair for EA/TEF, our data demonstrated significant morbidities among EA/TEF survivors, thus highlighting the importance of long-term multi-disciplinary care with collaboration between respiratory, gastroenterology, and otolaryngology specialists.
Level of evidence
Prognostic, Level IV.
Keywords
Esophageal Atresia; Tracheoesophageal Fistula; Esophageal strictures; Gastro-esophageal reflux; Tracheomalacia
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